Arthroscopy Services

Meniscus Repair Surgery – Preserving Your Knee's Natural Cushion A torn meniscus can stop you in your tracks – but modern arthroscopic techniques allow us to save, not just remove, your knee's shock-absorbing cartilage. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, our orthopaedic surgeons specialize in arthroscopic (keyhole) meniscus repair – stitching the torn meniscus back so it can heal, preserving your joint's natural cushioning. We tailor each treatment plan: some tears are best repaired; others may require a partial meniscectomy (removing only the damaged fragment). We'll give you an honest, evidence-based recommendation and guide you through recovery under one roof – with in-house imaging, surgery, and post-op physiotherapy. Why Patients Choose Us for Meniscus Surgery: Meniscus-Preserving Philosophy – We repair wherever possible because saving the meniscus lowers your risk of early knee arthritis. Arthroscopic (Keyhole) Technique – Small incisions, minimal pain, faster discharge, and barely-visible scars. Accurate Pre-Operative Diagnosis – Digital X-ray, MRI correlation, and detailed clinical examination before deciding on surgery. Honest, Non-Surgical Options – If your tear can be managed with physiotherapy alone, we'll tell you. Complete Recovery Pathway – Structured post-op physiotherapy at our clinic; home visits available across Bangalore. Sports-Injury Expertise – We treat athletes and active adults who want to return to sport safely. Our Meniscus Treatment Services Meniscus Tear Assessment & Diagnosis Clinical tests (McMurray, Thessaly), digital X-ray, MRI review, and tear classification by location, pattern, and size. Best for patients with knee pain after a twist or injury. Arthroscopic Meniscus Repair Keyhole surgery using arthroscopic sutures and anchors to stitch the torn meniscus back to the joint capsule. Best for peripheral, longitudinal (“bucket-handle”) tears in younger, active patients. Partial Meniscectomy Removal of only the irreparable torn fragment while preserving healthy meniscus. Suitable for complex or degenerative tears where repair isn't feasible. Combined ACL + Meniscus Surgery A single-stage arthroscopic procedure that reconstructs the ACL and repairs or trims the meniscus at the same time. For patients with both an ACL tear and meniscus injury. Meniscal Root Tear Repair Specialized repair for root-detachment tears that, if left untreated, rapidly accelerate arthritis. Often seen in sports trauma. Revision Meniscus Surgery Re-repair or revision meniscectomy for patients with persistent symptoms or a re-tear after a previous procedure. Post-Operative Rehabilitation Structured physiotherapy including protected weight-bearing, range-of-motion exercises, strengthening, balance work, and sport-specific progression. For all post-surgical patients. Non-Surgical Meniscus Management Physiotherapy, activity modification, strengthening, and pain-relief modalities for stable degenerative tears. Best for older patients or those with non-displaced tears. Signs You Might Need Meniscus Repair A “pop” felt at the time of injury, followed by swelling within 24 hours Knee locking, catching, or giving way Pain along the joint line (inner or outer knee) when twisting or squatting Difficulty fully straightening or bending the knee Persistent swelling after activity Instability on stairs or uneven ground Your Treatment Pathway – Step by Step Step 1 – Consultation & Physical Examination Detailed history-taking, McMurray/Appley/Thessaly tests, and digital X-ray to assess joint alignment and rule out other causes of knee pain. Step 2 – MRI & Tear Classification MRI review (we can arrange or use your existing scan) to determine tear type, location, and repairability. Step 3 – Surgical Planning & Decision Transparent discussion: repair vs. partial meniscectomy based on your age, activity level, and tear characteristics. Step 4 – Arthroscopic Procedure Typically 45–90 minutes under spinal or general anaesthesia; most patients go home the same day or stay one night. Step 5 – Post-Operative Protocol Bracing and weight-bearing instructions tailored to the repair type (more protective after repair than after meniscectomy). Step 6 – Physiotherapy & Milestone Tracking Progressive rehabilitation with assessments at 2, 6, and 12 weeks; functional tests before returning to sport. Step 7 – Return to Activity Graded return to walking, gym, and sport with final clearance from your surgeon and physiotherapist. Recovery Timeline After Meniscus Surgery Protected Phase (0–2 weeks) Swelling control, brace use, gentle range-of-motion exercises, and non-weight-bearing or partial weight-bearing as advised. Early Rehab (2–6 weeks) Regaining full extension and flexion, quadriceps activation, and weaning off crutches. Strengthening Phase (6–12 weeks) Progressive loading, balance and proprioception drills, and light resistance training. Return-to-Sport Phase (3–6 months) Sport-specific drills, agility work, and strength testing, with final clearance after functional assessment. Note: Recovery after meniscus repair is slower than after partial meniscectomy because the stitched tissue needs time to heal. Your surgeon will provide a personalized timeline. Frequently Asked Questions (FAQs) Q1. What is the meniscus, and why is it important? A: The meniscus is a C-shaped cartilage pad in your knee that acts as a shock absorber and stabilizer. Preserving it reduces the long-term risk of knee arthritis. Q2. How do I know if my meniscus tear needs surgery? A: Not all tears need surgery. Small, stable, or degenerative tears often become pain-free with physiotherapy. Surgery is usually advised for tears that cause locking, persistent pain, instability, or in active patients with repairable tears. We'll assess and advise honestly. Q3. What's the difference between meniscus repair and meniscectomy? A: Repair stitches the torn meniscus back together so it can heal – preserving tissue but requiring slower, more protected recovery. Meniscectomy removes only the damaged portion – faster recovery, but less meniscus remains in the knee. Q4. Is meniscus surgery painful? A: It's performed under anaesthesia, so you feel nothing during surgery. Post-op pain is manageable with medication and typically improves significantly within the first week. Q5. How long is the surgery, and how long will I stay in hospital? A: Most arthroscopic meniscus procedures take 45–90 minutes. Many patients go home the same day; some stay one night depending on the repair complexity and your general health. Q6. Will I need a brace or crutches after surgery? A: After a repair, yes – most patients use a brace and crutches with protected weight-bearing for 4–6 weeks. After a partial meniscectomy, you may walk with support within a few days and often don't need a brace. Q7. When can I return to work? A: Desk work: often within 1–2 weeks after meniscectomy, and 2–4 weeks after repair. Physically demanding jobs take longer and depend on your surgeon's and physiotherapist's assessment. Q8. When can I play sports again? A: Return to sport is typically 3–4 months after partial meniscectomy and 4–6 months after meniscus repair – only after strength and functional testing. Rushing this risks re-injury. Q9. Can a meniscus tear heal without surgery? A: Some tears in the outer, well-blood-supplied zone of the meniscus can heal, especially in younger patients. Degenerative tears in older adults often settle with physiotherapy. Tears in the inner avascular zone rarely heal on their own. Q10. Will I get arthritis after meniscus surgery? A: Preserving your meniscus – especially through repair – reduces the long-term risk of arthritis. Removing large amounts of meniscus increases it. This is exactly why we aim to repair wherever possible. Q11. Is MRI necessary before surgery? A: Yes, MRI is usually essential to confirm the tear pattern, location, and whether it's repairable. We can arrange imaging or review an MRI you already have. Q12. Is meniscus surgery covered by insurance? A: Arthroscopic meniscus surgery is commonly covered by health insurance when medically indicated. Our team will help with documentation, pre-authorization, and cashless/reimbursement claims. Q13. Do you offer physiotherapy after surgery? A: Yes – post-operative rehabilitation is done in-house at our clinic, or as home physiotherapy in Bangalore if you can't travel. This continuity is a major reason our patients recover well. Q14. What are the charges for meniscus repair surgery? A: Costs depend on the procedure type (repair vs. meniscectomy), implants used, and length of stay. Please call 08048035347 for an estimate after consultation.

ACL Ligament Knee Arthroscopy Surgery – Restoring Knee Stability A torn ACL (anterior cruciate ligament) makes your knee feel unstable, especially during twisting, turning, or landing movements. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, our orthopaedic surgeons perform arthroscopic ACL reconstruction – minimally invasive keyhole surgery that rebuilds the torn ligament and restores the stability your knee needs for daily life and sport. We use your own tissue (hamstring or quadriceps tendon graft) or donor tissue where appropriate, and every procedure is planned around your age, activity level, and goals. Because we have in-house digital imaging, surgery, and physiotherapy, your entire journey — from diagnosis to return to sport — happens under one roof. Why Patients Choose Us for ACL Surgery: Sports-Injury Expertise – We treat athletes, gym-goers, and active adults who want to get back to what they love. Arthroscopic (Keyhole) Technique – Small incisions, less post-operative pain, minimal scarring, and quicker discharge. Accurate Diagnosis – Clinical tests (Lachman, pivot shift), digital X-ray, and MRI correlation before surgery. Graft Selection Tailored to You – Hamstring, quadriceps, or allograft chosen based on your body and sport. Combined Injury Management – ACL plus meniscus or cartilage injuries addressed in a single procedure. Complete Rehabilitation Pathway – Structured post-op physiotherapy at our clinic; home physiotherapy available across Bangalore. Honest Advice – If your ACL tear can be managed without surgery, we'll tell you. Our ACL & Knee Arthroscopy Services ACL Tear Assessment & Diagnosis Detailed clinical examination (Lachman test, pivot shift test, anterior drawer), digital X-ray for alignment, and MRI review to confirm the tear and check for associated meniscus or cartilage injuries. Arthroscopic ACL Reconstruction Keyhole surgery to rebuild the torn ACL using a graft. The procedure restores knee stability, prevents further damage, and is usually performed within weeks of injury once swelling settles. ACL Repair (Selective Cases) For certain proximal tears in young patients, primary repair with augmentation may be possible instead of full reconstruction – preserving the native ligament where the tear pattern allows. Hamstring Tendon Graft ACL Reconstruction The most commonly used technique – strong, well-tested, and associated with good long-term outcomes and minimal donor-site issues. Quadriceps Tendon Graft ACL Reconstruction Increasingly preferred for athletes and revision cases, offering a robust graft with favourable biomechanics. Combined ACL + Meniscus Surgery Single-stage arthroscopic procedure that reconstructs the ACL and repairs or trims a torn meniscus at the same time – protecting the knee from long-term arthritis. Revision ACL Reconstruction For patients with a re-torn ACL or failed previous reconstruction, with careful evaluation of tunnel position and causes of failure. Knee Arthroscopy for Other Conditions Diagnostic and therapeutic arthroscopy for cartilage injuries, loose bodies, synovitis, and other intra-articular knee problems. Post-Operative Rehabilitation Structured physiotherapy – swelling control, range of motion, quadriceps activation, progressive strengthening, balance work, and sport-specific return-to-play testing. Signs You May Have an ACL Tear A loud “pop” in the knee at the time of injury Rapid swelling within a few hours of the injury Knee giving way or feeling unstable when walking or turning Inability to continue playing sport after the injury Difficulty bearing weight on the affected leg Loss of full range of motion A feeling that the knee is “not normal,” even after swelling reduces Your Treatment Pathway – Step by Step Step 1 – Consultation & Physical Examination History-taking, Lachman/pivot shift/anterior drawer tests, and digital X-ray to rule out fractures and assess alignment. Step 2 – MRI & Injury Mapping MRI review to confirm the ACL tear and identify associated meniscus, cartilage, or collateral ligament injuries. Step 3 – Pre-Surgical Preparation Physiotherapy to reduce swelling, restore range of motion, and strengthen the quadriceps before surgery – an important step for better outcomes. Step 4 – Arthroscopic ACL Reconstruction Typically 60–90 minutes under spinal or general anaesthesia. Most patients stay one night or go home the same day. Step 5 – Post-Operative Protocol Brace use, crutch support, and weight-bearing instructions as advised, with early range-of-motion work. Step 6 – Physiotherapy & Milestone Tracking Progressive rehabilitation with assessments at regular intervals; return-to-sport testing at 6–9 months. Step 7 – Return to Activity Graded return to walking, gym training, running, and sport with final clearance after strength and functional testing. Recovery Timeline After ACL Reconstruction Protected Phase (0–2 weeks) Swelling control, brace use, gentle knee bending, quadriceps activation exercises, and partial weight-bearing with crutches. Early Rehab (2–6 weeks) Regaining full extension and flexion, walking without crutches, and beginning light strengthening. Strengthening Phase (6 weeks – 3 months) Progressive loading, balance and proprioception work, stationary cycling, and light gym training. Functional Phase (3–6 months) Running, agility drills, and sport-specific movement patterns under physiotherapy supervision. Return-to-Sport Phase (6–9 months, sometimes longer) Strength and hop testing, sport-specific drills, and final clearance before returning to competitive sport. Note: ACL recovery is a marathon, not a sprint. Graft healing and safe return to sport take time — rushing the process risks re-injury. Your surgeon and physiotherapist will guide your personalised timeline. Frequently Asked Questions (FAQs) Q1. What is the ACL, and why is it important? A: The ACL (anterior cruciate ligament) is one of the main ligaments stabilising your knee. It prevents the shin bone from sliding forward and controls rotational movements — which is why a torn ACL makes the knee feel unstable. Q2. How do I know if my ACL is torn? A: Common signs include a “pop” at the time of injury, rapid swelling, knee instability, and difficulty continuing activity. A proper diagnosis needs a clinical examination and usually an MRI. If you suspect an ACL tear, avoid twisting movements and see an orthopaedic specialist. Q3. Does every ACL tear need surgery? A: No. Some patients — especially those who are less active or willing to modify their lifestyle — can manage with structured physiotherapy and bracing. However, surgery is usually recommended for athletes, active individuals, and anyone with repeated episodes of the knee giving way. Q4. What is arthroscopic ACL reconstruction? A: It's keyhole surgery where the torn ACL is replaced with a graft (usually your own hamstring or quadriceps tendon). Using small incisions and a camera, the surgeon creates bone tunnels and fixes the graft in place to rebuild the ligament. Q5. Which graft is best — hamstring or quadriceps tendon? A: Both are excellent. Hamstring grafts are the most widely used and have strong long-term results. Quadriceps grafts are increasingly preferred for athletes and revision cases. Your surgeon will recommend the best option based on your anatomy, sport, and goals. Q6. How soon after injury should surgery be done? A: Usually after swelling has settled and you have regained good range of motion — often 2–6 weeks after injury. Pre-surgery physiotherapy (“prehab”) improves outcomes. Some patients need surgery sooner if there are other injuries. Q7. Is ACL surgery painful? A: The surgery is performed under anaesthesia, so you feel nothing during the procedure. Post-operative pain is usually manageable with medications and improves significantly within the first week or two. Q8. How long will I stay in hospital? A: Most ACL reconstructions take 60–90 minutes. Many patients go home the same day, while some stay one night for observation and pain control. Q9. Will I need a brace and crutches? A: Yes — most patients use a knee brace and crutches for the first 2–4 weeks, gradually weaning off as strength and confidence return. Your surgeon and physiotherapist will guide this. Q10. When can I return to work? A: Desk work is usually possible within 1–2 weeks. Physically demanding jobs take longer — typically 6–12 weeks — depending on your recovery and the demands of your role. Q11. When can I play sports again? A: Most patients return to light sport at 6–9 months, and full competitive sport often at 9–12 months, only after passing strength and functional tests. Returning too early is the biggest risk factor for re-tearing the graft. Q12. Can the ACL heal on its own? A: The ACL has a very poor blood supply and rarely heals on its own. Some partial tears may become functional with physiotherapy, but complete tears generally need reconstruction for full stability. Q13. Will I get arthritis after ACL surgery? A: ACL injury increases the long-term risk of knee arthritis regardless of surgery. However, reconstruction restores stability, protects the meniscus and cartilage, and reduces further damage — which is why timely treatment matters. Q14. Is ACL surgery covered by insurance? A: Yes, ACL reconstruction is commonly covered by health insurance when medically indicated. Our team will assist with documentation, pre-authorisation, and cashless or reimbursement claims. Q15. Do you offer physiotherapy after ACL surgery? A: Yes — post-operative rehabilitation is done in-house at our clinic, or as home physiotherapy in Bangalore if you can't travel. This continuity of care is a major reason our patients recover well. Q16. What are the charges for ACL reconstruction surgery? A: Costs depend on the graft type, implants used, any additional procedures (such as meniscus repair), and length of stay. Please call 08048035347 for an estimate after consultation.